Provider Demographics
NPI:1619695244
Name:HUTCHINSON, AYME (PLPC, NCC)
Entity type:Individual
Prefix:
First Name:AYME
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SOUTHERN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-9436
Mailing Address - Country:US
Mailing Address - Phone:318-374-9118
Mailing Address - Fax:
Practice Address - Street 1:5 RIVER BEND PL STE D
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7618
Practice Address - Country:US
Practice Address - Phone:601-691-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3291101YP2500X
MS0851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherSELF PAY
AK1747239Medicaid